Psych Talk 101
History of Mental Health Care
Psychiatric Nursing Practice & Standards
Defining Mental Health & Illness
Systems, Policy, & Community Care
100

This term refers to drugs used to treat mental illness by affecting mood, behavior, and thinking.

What are psychotropic drugs?

100

In ancient times, sickness was believed to indicate this, viewed as punishment for sins and wrongdoing.

What is displeasure of the gods?

100

This nurse (1873 graduate) is called the first American psychiatric nurse and believed the mentally sick should be cared for as well as the physically sick.

Who is Linda Richards?

100

This characteristic of mental health explains why a person’s emotional, psychological, and social wellness can change over time as influencing factors interact.

What is a dynamic (ever-changing) state?

100

This 1963 law accelerated the move toward treating mental illness in less restrictive environments.

What is the Community Mental Health Centers Construction Act?

200

This state of emotional, psychological, and social wellness is reflected in effective coping, satisfying relationships, and emotional stability.

What is mental health?

200

This philosopher connected mental disorders to physical disorders using the theory of four humors (blood, water, yellow bile, black bile).

Who is Aristotle?

200

The first training of nurses to work with persons with mental illness occurred in 1882 at this hospital in Belmont, Massachusetts.

What is McLean Hospital?

200

People who are considered “healthy” are described as those who can do this in society and whose behavior is appropriate and adaptive.

What is carrying out their roles in society (fulfilling responsibilities) with appropriate, adaptive behavior?

200

This term describes short stays with frequent readmissions that can overwhelm psychiatric units after deinstitutionalization.

What is the revolving door effect?

300

This concept is designed to deliberately balance the quality of care provided with the cost of that care.

What is managed care?

300

In early Christian times, priests attempted to treat “possession” by performing this.

What are exorcisms?

300

Early psychiatric nursing care was primarily custodial and focused on these three areas.

What are nutrition, hygiene, and activity?

300

These three broad groups categorize factors that influence a person’s mental health as a dynamic, ever-changing state.

What are individual factors, interpersonal factors, and social determinants?

300

This practice describes keeping clients in the emergency department while waiting to see if a crisis de-escalates or until an inpatient bed is available.

What is psychiatric boarding (boarding)?

400

This deliberate shift moved the care of people with mental illness from state hospitals to community-based facilities and services.

What is deinstitutionalization?

400

In 1547, this hospital was officially declared a hospital for the insane—described as the first of its kind.

What is the Hospital of St. Mary of Bethlehem?

400

This organization develops standards of care—authoritative statements describing responsibilities for which nurses are accountable—and they may become legally binding if incorporated into state Nurse Practice Acts or rules.

What is the American Nurses Association (ANA)?

400

This debate is described when social/cultural factors contribute to isolation, alienation, or criminal behavior that may support a personality disorder diagnosis but not necessarily a medication-responsive mental illness.

What is the debate of “illness or bad behavior”?

400

This concept purposely controls the balance between quality of care provided and the cost of care; care is based on need rather than request.

What is managed care?

500

Published by the American Psychiatric Association, this taxonomy outlines all mental disorders and specifies diagnostic criteria based on clinical experience and research.

What is the DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision)?

500

In the 1790s, these two individuals helped formulate the concept of asylum as a safe refuge, launching moral treatment.

Who are Philippe Pinel and William Tuke?

500

This professional organization’s standards outline practice areas and the “phenomena of concern” (13 areas) for today’s psychiatric–mental health nurse.

What is the American Psychiatric Nurses Association (APNA)?

500

This concept explains why definitions of “healthy” vs. “ill” behavior can differ between societies based on values and beliefs.

What is culture’s influence on definitions of health and illness?

500

In the 1990s, this approach coordinated all types of care for a client on a case-by-case basis to reduce fragmented care, provide least restrictive care, and decrease costs (at least in theory).

What is case management (within the managed care environment)?

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